Case Management Agency - Case Manager A or B

Garfield County Colorado•Glenwood Springs, CO

13h•$26 - $36

About The Position

NOTE: We have two positions available, both located in Glenwood Springs. One position serves the populations of Summit and Eagle Counties, while the other serves residents of Garfield County. Hiring pay range: Case Manager A: $25.83 - $31.64; Case Manager B: $29.57 - $36.23 Full pay range: Caseworker A: $25.83 - $37.45; Caseworker B: $29.57 - $42.88 FLSA: Case Manager A: Non-Exempt ; Case Manager B: Exempt SUPERVISION: Case Manager A & B: Non-Supervisory DISTINGUISHING CHARACTERISTICS: Case Manager A: This is the entry-level position in the CMA Case Manager job series. Case Manager B: Performs professional, intermediate case management on more complex assignments, and is the second level in the CMA Case Manager job series. GENERAL PURPOSE OF JOB: Case Manager A & B: Provide a variety of case management services to clients eligible for publicly funded long-term care (LTC) programs.

Requirements

Bachelor’s degree in a Human Services or related field; OR
Five years of relevant experience in the field of Long-Term Services and Supports (LTSS). Experience should include a combination of education (coursework) and experience in the following areas: long-term care services and supports, gerontology, physical rehabilitation, disability services, children with special health care needs, behavioral science, special education, including working directly with persons with physical, intellectual, or developmental disabilities, mental illness, or other vulnerable populations.
Additional Education & Experience for Case Manager B: Bachelor’s Degree track: Plus, a minimum of two (2) years of experience working with LTSS population or case management. OR Experience track: Plus, a minimum of two (2) years of experience as a LTSS case manager.

Responsibilities

Receives referrals for LTC services from a variety of sources and performs appropriate intake and screening procedures.
Provides initial assessment and functional eligibility determination relative to the nature of the disabling condition, client capabilities, eligibility for LTC services, support systems and appropriate community resources. In-person assessment visits will occur in the applicant’s place of residence, hospital, nursing facility or other setting where the applicant is located.
Develops appropriate service plan for client’s (members) who are approved for LTC services.
Provides information and referral services to applicants who do not qualify for Medicaid LTC services in addition to providing this same service to members who do qualify for Medicaid LTC services.
Provides ongoing case management services which involve regular home visits to members to assure the effectiveness of services, to reassess continuing need for LTC services and to determine member capacity.
Provides care planning services to include development of a service plan, arrangement of alternative services, identification of appropriate support and community resources and determination of the cost effectiveness of the use of alternative services.
Develops, locates, and coordinates services in the community to maintain the member’s highest level of independence within the cost containment and consistent with member choice.
Compile’s information writes observations and prepares documentation as required by the agency, state, and Federal requirements; maintains log notes of all contacts, significant events or activities on behalf of the member.
Coordinates functional eligibility determinations with financial eligibility in the County of member residence/application.
Meets all state-defined timeframes for completion of assessments, continued stay reviews and documentation in the Care and Case Management system.
Provides quality documentation regarding services provided.
Report Critical Incidents within 24 hours of notification with follow up for all Critical Incident reports as required by HCPF review.
Establish and maintain member records to meet regulatory requirements and agency standards.
Assure all case activity meets regulatory requirements to assure monthly reimbursement for such activity under the agency contract with HCPF.
Use state required data entry system to assure benefits for members. These systems include but are not limited to: Care and Case Management system, Bridge, FMS portals and Telligen.
Maintains HIPAA and agency confidentiality standards and ongoing compliance with these standards of practice.
Attends training relative to the client population and/or rules and regulations for LTC programs.
Performs responsibilities under close supervision and within established guidelines. CMA Case Manager B: Under minimal supervision, performs all core case manager job duties. Assumes responsibility for more complex cases which involves working with individuals needing elevated services. May assist in training Case Manager A.
Other duties as assigned.